Individual
DR. TAMAR GRUENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
385 S MAPLE AVE, SUITE 107, GLEN ROCK, NJ 07452-1543
(201) 652-2707
Mailing address
600 W 246TH ST, APT 903, BRONX, NY 10471-3611
(201) 410-0971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02475500
NJ
1223P0221X
Pediatric Dentistry
055625
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02475500
NJ
Other
Enumeration date
07/12/2011
Last updated
10/29/2015
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